Journal of Shoulder and Elbow Surgery
Volume 19, Issue 2, Supplement , Pages 66-75 , March 2010

Use of locking plates in the treatment of proximal humerus fractures

  • Eric T. Ricchetti, MD

      Affiliations

    • Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, University of Pennsylvania Health System, Philadelphia, PA
    • ,
  • William J. Warrender

      Affiliations

    • 3B Orthopaedics, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA
    • ,
  • Joseph A. Abboud, MD

      Affiliations

    • Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, University of Pennsylvania Health System, Philadelphia, PA
    • 3B Orthopaedics, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA
    • Corresponding Author InformationReprint requests: Joseph A. Abboud, MD, University of Pennsylvania Health System, 3B Orthopaedics, Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107.

References 

  1. Agudelo J, Schurmann M, Stahel P, Helwig P, Morgan SJ, Zechel W, et al. Analysis of efficacy and failure in proximal humerus fractures treated with locking plates. J Orthop Trauma. 2007;21:676–681
  2. Baron JA, Barrett JA, Karagas MR. The epidemiology of peripheral fractures. Bone. 1996;18(3 Suppl):209S–213S
  3. Bastian JD, Hertel R. Initial post-fracture humeral head ischemia does not predict development of necrosis. J Shoulder Elbow Surg. 2008;17:2–8
  4. Bjorkenheim JM, Pajarinen J, Savolainen V. Internal fixation of proximal humeral fractures with a locking compression plate: a retrospective evaluation of 72 patients followed for a minimum of 1 year. Acta Orthop Scand. 2004;75:741–745
  5. Brunner F, Sommer C, Bahrs C, Heuwinkel R, Hafner C, Rillmann P, et al. Open reduction and internal fixation of proximal humerus fractures using a proximal humeral locked plate: a prospective multicenter analysis. J Orthop Trauma. 2009;23:163–172
  6. Charalambous CP, Siddique I, Valluripalli K, Kovacevic M, Panose P, Srinivasan M, et al. Proximal humeral internal locking system (PHILOS) for the treatment of proximal humeral fractures. Arch Orthop Trauma Surg. 2007;127:205–210
  7. Edwards SL, Wilson NA, Zhang LQ, Flores S, Merk BR. Two-part surgical neck fractures of the proximal part of the humerus. A biomechanical evaluation of two fixation techniques. J Bone Joint Surg Am. 2006;88:2258–2264
  8. Egol KA, Ong CC, Walsh M, Jazrawi LM, Tejwani NC, Zuckerman JD. Early complications in proximal humerus fractures (OTA Types 11) treated with locked plates. J Orthop Trauma. 2008;22:159–164
  9. Erhardt JB, Roderer G, Grob K, Forster TN, Stoffel K, Kuster MS. Early results in the treatment of proximal humeral fractures with a polyaxial locking plate. Arch Orthop Trauma Surg. 2009;129:1367–1374
  10. Fankhauser F, Boldin C, Schippinger G, Haunschmid C, Szyszkowitz R. A new locking plate for unstable fractures of the proximal humerus. Clin Orthop Relat Res. 2005;430:176–181
  11. Gallo RA, Zeiders GJ, Altman GT. Two-incision technique for treatment of complex proximal humerus fractures. J Orthop Trauma. 2005;19:734–740
  12. Gardner MJ, Boraiah S, Helfet DL, Lorich DG. The anterolateral acromial approach for fractures of the proximal humerus. J Orthop Trauma. 2008;22:132–137
  13. Gardner MJ, Boraiah S, Helfet DL, Lorich DG. Indirect medial reduction and strut support of proximal humerus fractures using an endosteal implant. J Orthop Trauma. 2008;22:195–200
  14. Gerber C, Hersche O, Berberat C. The clinical relevance of posttraumatic avascular necrosis of the humeral head. J Shoulder Elbow Surg. 1998;7:586–590
  15. Greiner S, Kaab MJ, Haas NP, Bail HJ. Humeral head necrosis rate at mid-term follow-up after open reduction and angular stable plate fixation for proximal humeral fractures. Injury. 2009;40:186–191
  16. Handschin AE, Cardell M, Contaldo C, Trentz O, Wanner GA. Functional results of angular-stable plate fixation in displaced proximal humeral fractures. Injury. 2008;39:306–313
  17. Harvie P, Pollard TC, Chennagiri RJ, Carr AJ. The use of outcome scores in surgery of the shoulder. J Bone Joint Surg Br. 2005;87:151–154
  18. Hawkins RJ, Kiefer GN. Internal fixation techniques for proximal humeral fractures. Clin Orthop Relat Res. 1987;223:77–85
  19. Helmy N, Hintermann B. New trends in the treatment of proximal humerus fractures. Clin Orthop Relat Res. 2006;442:100–108
  20. Hepp P, Theopold J, Osterhoff G, Marquass B, Voigt C, Josten C. Bone quality measured by the radiogrammetric parameter “cortical index” and reoperations after locking plate osteosynthesis in patients sustaining proximal humerus fractures. Arch Orthop Trauma Surg. 2009;129:1251–1259
  21. Hepp P, Theopold J, Voigt C, Engel T, Josten C, Lill H. The surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome. J Shoulder Elbow Surg. 2008;17:21–28
  22. Hertel R. Fractures of the proximal humerus in osteoporotic bone. Osteoporos Int. 2005;16(Suppl 2):S65–S72
  23. Hertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004;13:427–433
  24. Hintermann B, Trouillier HH, Schafer D. Rigid internal fixation of fractures of the proximal humerus in older patients. J Bone Joint Surg Br. 2000;82:1107–1112
  25. Hirschmann MT, Quarz V, Audige L, Ludin D, Messmer P, Regazzoni P, et al. Internal fixation of unstable proximal humerus fractures with an anatomically preshaped interlocking plate: a clinical and radiologic evaluation. J Trauma. 2007;63:1314–1323
  26. Koukakis A, Apostolou CD, Taneja T, Korres DS, Amini A. Fixation of proximal humerus fractures using the PHILOS plate: early experience. Clin Orthop Relat Res. 2006;442:115–120
  27. Laflamme GY, Rouleau DM, Berry GK, Beaumont PH, Reindl R, Harvey EJ. Percutaneous humeral plating of fractures of the proximal humerus: results of a prospective multicenter clinical trial. J Orthop Trauma. 2008;22:153–158
  28. Lanting B, MacDermid J, Drosdowech D, Faber KJ. Proximal humeral fractures: a systematic review of treatment modalities. J Shoulder Elbow Surg. 2008;17:42–54
  29. Lee SH, Dargent-Molina P, Breart G. Risk factors for fractures of the proximal humerus: results from the EPIDOS prospective study. J Bone Miner Res. 2002;17:817–825
  30. Lupo R, Rapisarda SA, Lauria S, Palmisciano G. Plates with angular stability: our personal experience in surgical treatment of fractures of the proximal extremity of the humerus. Chir Organi Mov. 2008;91:97–101
  31. Moonot P, Ashwood N, Hamlet M. Early results for treatment of three- and four-part fractures of the proximal humerus using the PHILOS plate system. J Bone Joint Surg Br. 2007;89:1206–1209
  32. Neer CS. Displaced proximal humeral fractures. I. Classification and evaluation. J Bone Joint Surg Am. 1970;52:1077–1089
  33. Neer CS. Displaced proximal humeral fractures. II. Treatment of three-part and four-part displacement. J Bone Joint Surg Am. 1970;52:1090–1103
  34. Nguyen TV, Center JR, Sambrook PN, Eisman JA. Risk factors for proximal humerus, forearm, and wrist fractures in elderly men and women: the Dubbo Osteoporosis Epidemiology Study. Am J Epidemiol. 2001;153:587–595
  35. Nho SJ, Brophy RH, Barker JU, Cornell CN, MacGillivray JD. Innovations in the management of displaced proximal humerus fractures. J Am Acad Orthop Surg. 2007;15:12–26
  36. Nho SJ, Brophy RH, Barker JU, Cornell CN, MacGillivray JD. Management of proximal humeral fractures based on current literature. J Bone Joint Surg Am. 2007;89(Suppl 3):44–58
  37. Owsley KC, Gorczyca JT. Fracture displacement and screw cutout after open reduction and locked plate fixation of proximal humeral fractures [corrected]. J Bone Joint Surg Am. 2008;90:233–240
  38. Plecko M, Kraus A. Internal fixation of proximal humerus fractures using the locking proximal humerus plate. Oper Orthop Traumatol. 2005;17:25–50
  39. Ricchetti ET, DeMola PM, Roman D, Abboud JA. The use of precontoured humeral locking plates in the management of displaced proximal humerus fracture. J Am Acad Orthop Surg. 2009;17:582–590
  40. Rose PS, Adams CR, Torchia ME, Jacofsky DJ, Haidukewych GG, Steinmann SP. Locking plate fixation for proximal humeral fractures: initial results with a new implant. J Shoulder Elbow Surg. 2007;16:202–207
  41. Rouleau DM, Laflamme GY, Berry GK, Harvey EJ, Delisle J, Girard J. Proximal humerus fractures treated by percutaneous locking plate internal fixation. Orthop Traumatol Surg Res. 2009;95:56–62
  42. Schlegel TF, Hawkins RJ. Displaced Proximal Humeral Fractures: Evaluation and Treatment. J Am Acad Orthop Surg. 1994;2:54–78
  43. Shahid R, Mushtaq A, Northover J, Maqsood M. Outcome of proximal humerus fractures treated by PHILOS plate internal fixation. Experience of a district general hospital. Acta Orthop Belg. 2008;74:602–608
  44. Siffri PC, Peindl RD, Coley ER, Norton J, Connor PM, Kellam JF. Biomechanical analysis of blade plate versus locking plate fixation for a proximal humerus fracture: comparison using cadaveric and synthetic humeri. J Orthop Trauma. 2006;20:547–554
  45. Siwach R, Singh R, Rohilla RK, Kadian VS, Sangwan SS, Dhanda M. Internal fixation of proximal humeral fractures with locking proximal humeral plate (LPHP) in elderly patients with osteoporosis. J Orthop Traumatol. 2008;9:149–153
  46. Solberg BD, Moon CN, Franco DP, Paiement GD. Locked plating of 3- and 4-part proximal humerus fractures in older patients: the effect of initial fracture pattern on outcome. J Orthop Trauma. 2009;23:113–119
  47. Solberg BD, Moon CN, Franco DP, Paiement GD. Surgical treatment of three and four-part proximal humeral fractures. J Bone Joint Surg Am. 2009;91:1689–1697
  48. Stableforth PG. Four-part fractures of the neck of the humerus. J Bone Joint Surg Br. 1984;66:104–108
  49. Sudkamp N, Bayer J, Hepp P, Voigt C, Oestern H, Kaab M, et al. Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. Results of a prospective, multicenter, observational study. J Bone Joint Surg Am. 2009;91:1320–1328
  50. Thalhammer G, Platzer P, Oberleitner G, Fialka C, Greitbauer M, Vecsei V. Angular stable fixation of proximal humeral fractures. J Trauma. 2009;66:204–210
  51. Vallier HA. Treatment of proximal humerus fractures. J Orthop Trauma. 2007;21:469–476

PII: S1058-2746(10)00002-9

doi: 10.1016/j.jse.2010.01.001

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 2, Supplement , Pages 66-75 , March 2010

Article Tools

* Image Usage & Resolution